Individual
BRIANNA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4255 30TH AVE S, FARGO, ND 58104-8427
(701) 478-8950
Mailing address
4255 30TH AVE S, FARGO, ND 58104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1394
ND
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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